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CARE Clinic for Drug Addiction and Mental Health in North Mississippi, LLC

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Company Details

Name: CARE Clinic for Drug Addiction and Mental Health in North Mississippi, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 19 Sep 2021 (4 years ago)
Business ID: 1303961
ZIP code: 38901
County: Grenada
State of Incorporation: MISSISSIPPI
Principal Office Address: 222 Southlakes DriveGrenada, MS 38901

Agent

Name Role Address
K Brooke Shoultz Agent 365 Lakeview Blvd., Biloxi, MS 39531

Organizer

Name Role Address
K Brooke Shoultz Organizer 365 Lakeview Blvd., Biloxi, MS 39531

Manager

Name Role Address
Rosemarie Jaggai Manager 222 Southlakes Drive, Grenada, MS 38901

National Provider Identifier

NPI Number:
1659041663
Certification Date:
2022-07-26

Authorized Person:

Name:
DR. CEDRIC EDWARDS
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207RA0401X - Addiction Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-28 Annual Report For CARE Clinic for Drug Addiction and Mental Health in North Mississippi, LLC
Annual Report LLC Filed 2024-05-29 Annual Report For CARE Clinic for Drug Addiction and Mental Health in North Mississippi, LLC
Annual Report LLC Filed 2023-06-13 Annual Report For CARE Clinic for Drug Addiction and Mental Health in North Mississippi, LLC
Annual Report LLC Filed 2022-03-13 Annual Report For CARE Clinic for Drug Addiction and Mental Health in North Mississippi, LLC
Formation Form Filed 2021-09-19 Formation For CARE Clinic for Drug Addiction and Mental Health in North Mississippi, LLC

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Date of last update: 27 May 2025

Sources: Company Profile on Mississippi Secretary of State Website